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City of Orono
<br />Land Use & Conditional Use Permit
<br />Application
<br />Street Address:
<br />2750 Kelley Parkway
<br />Orono, MN 55356
<br />Main : 952-249-4600
<br />fax: 952-249-4616
<br />Mailing Address:
<br />P .O. Box66
<br />Crystal Bay, MN 55323-0066
<br />Application #
<br />Date Received :
<br />Staff:
<br />Fee:
<br />Escrow# & $
<br />Permit Fee
<br />Notes:
<br />This application form must be completed in full . Applicant will be notified within 15 days as to the status of the
<br />application. Incomplete applications will not be placed on Planning Commission Agendas.
<br />Job Site Address: 'il/0 /!;;{j J:s lor1d
<br />CONTRACTOR/ APPLICANT INFORMATION: 0 , j I lL
<br />Name: _ .S Ul'\c.ct,.r-f-DVJ• d,,er S -kl/0(,{J"f1--re_rne-~
<br />Phone: ~ ~ Fax: -.55:?. a
<br />Address: • ~ fl() ~ 2-Cit : e,,. ZIP: 5'S .3S°'I
<br />Contact Person: ~ ~ ~• ~k Contact's phone num er 7C,:!-'/7f-S:SS-S
<br />Email J<>kn \; w:u.r .~Applicant is: ontractor Homeowner (Circle One)
<br />PROPERTY OWNER INFORMATION: II/ .I)
<br />Name: O"'ohv1 CM6 t-r, (C-e,.., ,c,e;mPiVI n
<br />Phone (day): ~ p .. -"3 <;.o -qS:o J f, t 2. --/f7£-,£ 3 2 O
<br />Mailing Address : 2 I q S-7 ,tn1111makot 'Bf.tJ. Vr,;-t I z . F:>cc&L~,iJr."1N ZIP: S'S 3 3 I
<br />Email and/o~ Fax Jo~"-■ <'e.-, ni.ttrH') <J, ce.Jv,,!ho-e$. a~ ~r ttli_ve.-, ~e,j 1\14 t1: @ 8mc/, / ,ail'l-1 ~
<br />Overall Project Description: C.0111 ;frv.cr r\e-.v SY,,< o()q I ca.bin i ce,,t,,,,n e:.>c,~ 811erfuf1 11
<br />Check Box LAND USE APPLICATIONS Application Fee Escrow
<br />Appeal of Administrative Decision $50 NA
<br />Commercial Site Plan Review $700* $10,000 (minimum)
<br />Comprehensive Plan Amendment $700* $700
<br />Easement / Right-of Way (ROW) Vacation, without Subdivision $700* $700
<br />PID (5 acre minimum per code) $200/ acre (minimum $1,000)* $10,000 (minimum)
<br />PUD Rezoning (Hwy 12 Corridor Only)-Residential $700 + $40 per dwellinq unit* $10,000 (minimum)
<br />PUD Rezoning (Hwy 12 Corridor Only) -Commercial/Industrial $200/acre (minimum $875)* $10,000 (minimum)
<br />RPUD or PRD, without Subdivision $SO/dwelling (minimum $600)
<br />Zoning Amendments including Rezoning $700* $700
<br />trf.A{f::t( Va r14n,l.P /s -UJ.s -/fu,yi -' a(.,(6..£ -hr tl~.d-,Al..-:,., er fi/Ut.tf ct,'7,~ ~,.-e,,,eds t-.t'JIJ ~ F
<br />Check Box CONDITIONAL USE PERMIT-(CUP) y Application Fee Escrow
<br />After-the-Fact CUP Double Fee
<br />Amend Existing CUP $700* N/A
<br />Commercial / Industrial Use $700* $700
<br />Duplex Credit (per building) $700* $700
<br />Grading and Filling-501 cu. yd. or more $700*+Permit Fee $700
<br />Grading and filling-within 75' of OHWL (includes seawalls & retaining walls) $700*+Permit Fee $700
<br />Grading and filling-wetland and floodplain $700*+Permit Fee $700
<br />Guest House / Guest Apartment $700* $700
<br />Institutional -Type: $700* $700
<br />Renewal of CUP, IF no change to original plan $350 NA
<br />;;,<.. Residential Accessory Use -Type : --$700* $700
<br />0(.A.15" f'" f\(¾/ > el( s O/l4 I c;,,bi,Ji(C'-'t:IVEU *plus, Engineering & Legal Review Costs
<br />Packet Last Updated: 03/29/13 FEB 19 2013
<br />~~12,.R_f29
<br />\,11 Y uF 9RONO 3658
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